Individual provider Active NPI

Monica Marie Iammatteo

  • Health Educator
  • Saint Paul, MN
National Provider Identifier
1881135325
Registry record updated Mar 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
License
A1119 Issued in MN
Practice address
261 Sidney St W
Saint Paul, MN 55107-3406
Phone
(651) 487-4213
NPI assigned
Mar 16, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Educator 174H00000X A1119 MN Primary

Addresses

Primary practice location

261 Sidney St W
Saint Paul, MN 55107-3406

Mailing address

261 Sidney St W
Saint Paul, MN 55107-3406
Phone (651) 487-4213

Other names 1

  • Ms. Monica Marie Iammatteo Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
A1119MNMDHealth Educator

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1489622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489622400000",
    "number": "1881135325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 SIDNEY ST W",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551073406",
            "telephone_number": "651-487-4213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 SIDNEY ST W",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551073406",
            "telephone_number": "651-487-4213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IAMMATTEO",
        "first_name": "MONICA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-16",
        "last_updated": "2017-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "MN",
            "license": "A1119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MONICA",
            "last_name": "IAMMATTEO",
            "middle_name": "MARIE",
            "prefix": "MS.",
            "credential": "PTA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.